[Barrett esophagus--an increasing problem].

A Berstad; J G Hatlebakk; K E Giercksky

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PubMed · 9844516

[Barrett esophagus--an increasing problem].

A Berstad·J G Hatlebakk·K E Giercksky

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Abstract

There has been a considerable increase in the incidence of adenocarsinoma in the proximal stomach (cancer of the cardia) and distal oesophagus (Barrett's cancer) for the past 20 years. There is probably also a parallel increase in the pathogenetically related conditions reflux oesophagitis and Barrett's oesophagus. In patients with classical Barrett's oesophagus, i.e., metaplastic changes in the mucosa more than 3 cm up from the gastro-oesophageal junction, a follow-up programme with endoscopy and adequate biopsies is recommended in cases where a finding of premalignant changes or malignancy will have therapeutic consequences. In "short segment" Barrett's oesophagus it is still not clear how extensive the biopsy and follow-up programme should be. It is also not clear whether other tests should be performed. Screening for malignancy, possibly by means of cancer-markers, and local treatment modalities of (pre-) malignant changes, are interesting possibilities that are being investigated.

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Adenocarcinoma Barrett Esophagus Biomarkers, Tumor Cardia Esophageal Neoplasms Humans Mass Screening Stomach Neoplasms English Abstract Journal Article Review

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A Berstad, J G Hatlebakk, K E Giercksky. 1998-10-30. [Barrett esophagus--an increasing problem].. https://pubmed.ncbi.nlm.nih.gov/9844516/

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